Abstract
<h3>Dialysis: Economics</h3> The liveliest ferments in nephrology today concern various aspects of dialysis. Chief among these are economic questions.<sup>1,2</sup>Long-term hemodialysis has been a ward of the federal government for the last eight of its 20 years and has been widely used in models to predict the shape of socialized medicine. While the present state of affairs does not inspire confidence in federal management of largescale medical enterprises, not all of the problems are of Washington's making, eg, the astonishing rate of growth of the dialysis population. Consider the following tables (the numbers are the author's choices from several possible estimates). Such enormous expenditures for so few people have disturbed a number of observers and have led to repeated calls for cheaper methods of treatment, chiefly one form or another of home dialysis. Assuming that 50% of a rapidly increasing dialysis population may be suited to dialysis at home,
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